Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.40 / $4,933.00 / $4,933.00	Facility		$1,768.40	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.21 / $1,596.43 / $1,768.40	Professional		$1,216.21	$1,596.43	$1,768.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.49 / $7,087.19 / $9,784.56	Facility		$4,793.49	$7,087.19	$9,784.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.55 / $1,345.76 / $2,280.98	Professional		$362.55	$1,345.76	$2,280.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.63 / $1,673.24 / $3,209.94	Professional		$1,200.63	$1,673.24	$3,209.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,422.78 / $4,933.00 / $4,933.00	Facility		$1,422.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,373.10 / $1,534.50 / $2,166.06	Professional		$1,373.10	$1,534.50	$2,166.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $1,176.84 / $1,776.69	Professional		$130.25	$1,176.84	$1,776.69
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.75 / $1,799.63 / $2,321.27	Professional		$1,402.75	$1,799.63	$2,321.27